James J J, Grabowski W, Mangelsdorff A D
Ann Emerg Med. 1982 Aug;11(8):404-8. doi: 10.1016/s0196-0644(82)80035-8.
Twenty-five radiographic studies representative of the spectrum of trauma cases that might present to an emergency department were selected from actual cases presenting at Brooke Army Medical Center (BAMC) in San Antonio, Texas. The studies were then transmitted from a local television studio via satellite back to BAMC and three other Army hospitals. A panel of 29 physicians (11 radiologists, 7 emergency physicians, and 11 others from various specialty areas) viewed the images on commercial grade television sets and attempted to make a diagnosis. The diagnostic accuracy of the radiologists (86%) was significantly better than that of the other two groups (77% each). However, given the overall expense of a teleradiology network, this difference in accuracy - especially when translated into clinically significant errors - might not justify the establishment of such a network in terms of cost-effectiveness.
从得克萨斯州圣安东尼奥市布鲁克陆军医疗中心（BAMC）实际出现的创伤病例中选取了25份具有代表性的X光检查研究，这些病例涵盖了可能出现在急诊科的各种创伤情况。然后，这些研究通过卫星从当地电视台传输回BAMC以及其他三家陆军医院。一个由29名医生组成的小组（11名放射科医生、7名急诊科医生和11名来自各个专业领域的其他医生）在商用级电视机上查看图像并尝试做出诊断。放射科医生的诊断准确率（86%）明显高于其他两组（每组77%）。然而，考虑到远程放射学网络的总体费用，这种准确率上的差异——尤其是当转化为具有临床意义的错误时——从成本效益的角度来看，可能不足以证明建立这样一个网络是合理的。
